PATIENT RESOURCE GUIDE SIMPLY THE RIGHT CARE

Transcription

1 P A C I F I C M E D I C A L C E N T E R S SIMPLY THE RIGHT CARE PATIENT RESOURCE GUIDE

2 Contents Welcome to PacMed... 1 Your Medical Home...2 A Different Kind of Care Package...3 Unique Teamwork...4 Streamlined Access...4 Preparing for Your Visit...5 Talking Things Over...5 Your Records at Your Fingertips...6 Being a Partner in Your Health...6 Frequently Asked Questions...9 Health Maintenance for Adults Health Maintenance for Children...11 Understanding Your Medical Insurance Tips for Getting the Most from Your Medical Insurance PacMed Specialties and Services... 13

3 Welcome to PacMed tm We are glad you have chosen Pacific Medical Centers. You ve made an important commitment to your health and to the long-term quality of your life. As an integrated, multi-specialty medical group, we deliver coordinated, exceptional care, all focused on you the whole you. At PacMed, our passion is keeping you well, not just curing your ills. I FOUND: 1

4 Your Medical Home Personal care leads to better outcomes, and at PacMed, we are committed to putting this idea into practice. In fact, we are one of a few select providers in the region recognized by the National Committee for Quality Assurance (NCQA) as a Patient-Centered Medical Home. PacMed is dedicated to improving health care quality. What does a Medical Home mean for you? You are the center of our attention and we will guide you through coordinated, evidence-based care. You have excellent access to a variety of providers and health services, including behavioral medicine, which is integrated into most of our clinics. Your care is based on a long-term healing relationship with a provider you trust. Your provider will help prevent illness, manage conditions and refer you to specialized care when you need it. Your provider will stay involved every step of the way. You will receive equal access to care, regardless of your source of payment. You will get the most out of your care if you provide us with a complete medical history, including information about care obtained outside of PacMed. 2 Our foundation of comprehensive primary care guides our actions. At PacMed, we make sure our patients have excellent access to their health care team. This includes open, clear communication with a primary care provider during each interaction within our clinic network. Linda Marzano, CEO of PacMed

5 A Different Kind of Care Package At PacMed, we genuinely value who you are and what s important to you. We want to know you as a whole person, not just as a patient. We like it when people bring family members for us to meet or to accompany them to appointments and often we become health care providers to those spouses, significant others, parents, children and other relatives, too. Who are the active members of your health care team? Your primary care provider knows you best and is the leader of your health care team. A medical assistant helps your provider coordinate your care and follow-up. Other members typically include a nurse, medical specialists and support staff. What can you expect? Up-to-date records Faster lab results Personal phone calls to see how you are feeling Staff who take the time to fully explain procedures and answer questions To feel taken care of with the best outcomes possible From appointments to billing, we are here to help. 3

6 Unique Teamwork Your care team works together to coordinate your health care. From primary and specialty care providers to nurses, dietitians and therapists everyone who is responsible for your care strives to deliver the thoughtful, personalized care you deserve. Your providers talk to each other about your care. Your medical record is always up to date.* Everyone is on the same page. Extraordinary care like this is not only convenient, it can save precious time when time is of the essence. No matter how complex your situation, your PacMed providers will work together to create a care plan tailored to your needs. When I m referred to a specialist within the PacMed network, I know I ll be receiving the highest quality of care A valued PacMed patient from an expert in his or her field. Streamlined Access We coordinate your health care needs so you can focus on what s important to you. Our streamlined, coordinated care delivers convenience and choice. Referrals are smooth and fast. You will have access to cutting-edge technology and first-class facilities. Our board-certified specialists many of whom have been named as Top Docs in our region are available to you. Our behavioral health therapists are right on-site at most PacMed clinics. *Your privacy is important to us. We treat your records with extreme sensitivity. 4

7 Preparing for Your Visit Regular visits to your primary care provider are an essential part of staying healthy. So plan ahead. Make a list of all your medications, including herbal and naturopathic preparations. Or bring them with you. Write down how you ve been feeling and all of your questions, no matter how insignificant they may seem. Have you been feeling unusually tired? Are you sleeping more than usual? Have you been gaining weight or losing weight? All states of being are important to consider. Your questions and input provide valuable information for your provider to determine your proper care. We want you to be satisfied with your visit! Being prepared can make a difference. We will remind you of your appointment by text and/or phone call. After your appointment, you may be sent a survey (by or US Mail) about the care and service you received. You may get a survey for each provider you saw at your visit. Talking Things Over Think of your primary care provider as a friend and partner who has an intense interest in your well-being and cares about you and your ideas. Don t hesitate to describe your symptoms in detail. Ask questions and actively participate in the visit. Your provider wants to hear from you. Speaking frankly will lead to the best care possible. 5

8 Your Records at Your Fingertips With MyChart, you can get simple and fast online access to your vital health information. No need to wait on the phone! Expect a response to your MyChart message within two business days. With the secure, online MyChart portal, you can: Send non-urgent messages to your health care team. Request appointments. View lab results. Request prescription renewals. Access your personal health record. To sign up for MyChart, just ask our check-in staff for an access code. Being a Partner in Your Health The more you share with your provider, the better he or she can serve your needs. If you don t understand, ask again. Know what medication you are taking and why. Ask for details about your diagnosis. Thoroughly read what you are signing. Report all allergies or drug reactions. Don t be afraid to seek a second opinion. At Pacific Medical Centers, I got an annual exam, eye checkup, saw a women s health care physician and got a mammogram at the women s center. It doesn t get any more convenient than that! A valued PacMed patient 6

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10 I know the goal of PacMed is to provide patients with the highest quality of service. I am pleased to tell you [they have] met that goal. They made me feel comfortable, important and not afraid to ask questions. A valued PacMed patient 8

11 Frequently Asked Questions Where can I receive urgent care after hours? If it s not an emergency and your PacMed clinic is closed, call your clinic s main line to determine if urgent care is needed. Urgent care clinics are not affiliated with PacMed, but we will help you locate one nearby when you call. Use urgent care clinics for minor injuries or illnesses that do not require hospitalization. What phone number do I call after hours? Please call the main number for your PacMed clinic. For your clinic s phone number, look at the list on the back cover of this booklet. How do I ask my doctor a question? For non-urgent questions, use MyChart to communicate with your health care team. If you cannot access MyChart, you may call your clinic and leave a message for your provider. When will I get my lab results? Results will be available online in your MyChart account. Your provider s interpretation of the results will take an additional day or two for routine tests. If your tests are normal, you will receive a call, MyChart message or a copy of the results in the mail. If the tests reveal a concern, you will receive a call from your health care team to discuss follow-up care. How do I refill a prescription? Please contact your usual pharmacy. The pharmacy will communicate with your PacMed provider. Refills may take up to 48 hours. To ensure no interruption in your care, call your pharmacy when you are down to a one-week supply no later! You may also request a refill online with MyChart. 9

12 Health Maintenance for Adults Women Cervical Cancer Screening (Pap Smear): Every 3 years for women age and every 5 years for women age (May differ depending on your situation; consult your provider.) Dates: Breast Cancer Screening: Mammograms yearly or every other year, beginning at age 40 or 50. (Consult your provider.) Dates: Osteoporosis Screening: DXA scan once after age 65. Date: Men Prostate Cancer Screening: Discuss with your provider. Abdominal Aneurysm Screening: Ultrasound once between ages 65 and 75 if a history of smoking. Date: 10 Women & Men Colon Cancer Screening: Preferred method Colonoscopy every 10 years, beginning at age 50. Other acceptable methods High-sensitivity Fecal Occult Blood Test (FOBT) every year (and if positive, then colonoscopy) OR (least preferred method) high-sensitivity FOBT every 3 years combined with flexible sigmoidoscopy every 5 years. Date: Recommendation: Date: Recommendation: Date: Recommendation: Cholesterol Testing: Beginning at age 20, every 1 5 years Dates: Diabetes Screening: Beginning at age 45, every 3 years. (Consult your provider.) Dates: Immunizations: Substitute Tdap (tetanus, diphtheria, pertussis) one time for adults, then tetanus and diphtheria booster (Td) every 10 years. Dates: Flu shots every year. Dates: Zoster (Shingles) vaccine once at age 60 or above. Date: Pneumococcal (Pneumovax) vaccine at age 65 (earlier if recommended by your provider). Date:

13 Health Maintenance for Children Well-child exams include immunization updates and a variety of health and development screenings. We recommend visits at the following ages: 2-3 days after discharge 12 months 14 days 15 months 2 months 18 months 4 months 2 years 6 months Annually after 2 years 9 months Immunization Schedule Hepatitis B: Diphtheria, Tetanus, Pertussis (DTaP): Haemophilus Influenzae Type B (Hib): Polio (IPV): Pneumococcal (Prevnar): Rotavirus: Measles/Mumps/Rubella (MMR): Chicken Pox (Varicella): Hepatitis A: Influenza: Birth, 1 4 mo, 6 18 mo 2 mo, 4 mo, 6 mo, mo, 4 6 yrs 2 mo, 4 mo, 6 mo, mo 2 mo, 4 mo, 6 18 mo, 4 6 yrs 2 mo, 4 mo, 6 mo, mo 2 mo, 4 mo, 6 mo mo, 4 6 yrs mo, 4 6 yrs 2 doses 6 mo apart after first birthday Yearly for children 6 mo and older* Human Papillomavirus (HPV, Gardasil): 9 26 yrs, 2-shot or 3-shot series Meningitis (Menactra): Tetanus, Diphtheria, Pertussis (Tdap): First dose yrs, second dose yrs yrs *Two doses given at least four weeks apart are recommended for children 6 months through 8 years of age who are getting an influenza (flu) vaccine for the first time. 11

14 Understanding Your Medical Insurance Insurance Coverage: Even if PacMed works with your insurance company, we may not be contracted with your specific insurance plan. It is important to check with your insurance company before your visit to ensure that you are aware of your financial responsibility for the services you are receiving. If you change or add an insurance policy, please let us know so that we may properly bill your insurance carrier. Copay: We have a contractual obligation (with your insurance company) to collect your copay at the time of service. Please remember to bring your copay to your appointment. Self-pay discount: If you do not have insurance and choose to selfpay at the time of service, you will be offered a discount. If you have questions on whether or not your services qualify for discount, please contact the PacMed Patient Accounts department at Visit for more helpful information or call with your questions. Tips for Getting the Most from Your Medical Insurance To maximize your medical benefits, please contact your insurance company s Customer Service department to verify your policy s benefits prior to your medical visit. The phone number should be on your insurance ID card. Before calling your insurance company, prepare some questions. Some suggestions are: Do I have an assigned primary care provider with my plan? Do I have a deductible, coinsurance or copayment for the health service I need? If PacMed does not contract with your plan: Do I have out-ofnetwork benefits? 12

15 Questions about whether PacMed accepts your insurance? You can visit to see accepted insurance, including Medicare, or you can call our Insurance Verification department at Pacific Medical Centers is a Designated Provider of US Family Health Plan, a TRICARE Prime option, serving military retirees and activeduty family members. For more information, visit or call PacMed Specialties and Services We are continually expanding our specialty and service offerings. For a current list of our offered specialties, please visit Primary Care Behavioral Medicine - Neuropsychology - Psychiatry Adult & Geriatric - Psychotherapy - Individual Child/Adolescent & Adult - Couples Therapy - Family Therapy Family Medicine Family Medicine with Obstetrics Geriatric Medicine Gynecology Internal Medicine Nutrition Pediatrics Medical Specialties Allergy Cardiology Dermatology Diabetes & Metabolism, Endocrinology Gastroenterology Hepatology & Liver Disease Immunology Neurology Oncology & Hematology Physiatry Pulmonology Rheumatology Sleep Medicine Sports Medicine Women s Health Surgical Specialties da Vinci Robotic-Assisted Surgery Facial Plastic Surgery General Surgery Gynecology Interventional Pain Management LASIK & Vision-Correction Services Ophthalmology Orthopedics Otolaryngology Head & Neck Surgery Podiatric Medicine Foot & Ankle Surgery Urology Vasectomy Vitreoretinal Diseases & Surgery Other Services Cancer Screening - Colonoscopy - Mammography Cardiovascular Lab Cosmetic Services - Surgical & Nonsurgical Treatments DXA (Bone Density Screening) Echocardiography Lab Nuclear Medicine Lab Optometry Physical Therapy

16 PacMed Clinic Locations Beacon Hill and Diagnostic & Wellness Center for Women th Avenue S Seattle, WA Beacon Hill: Women s Center: Canyon Park th Street SE, Suite 300 Bothell, WA Federal Way Gateway Center Blvd S Federal Way, WA First Hill 1101 Madison Street, Suite 301 Seattle, WA Lacey 4800 College Street SE, Suite A Lacey, WA Lynnwood th Avenue W, Suite 230 Lynnwood, WA Northgate and Diagnostic Center for Sleep Health th Avenue NE Seattle, WA Northgate: Sleep Center: Puyallup th Avenue SE, Suite C Puyallup, WA Renton 601 S Carr Road, Suite 100 Renton, WA Totem Lake Totem Lake Blvd NE, Suite 101 Kirkland, WA Patient Rights and Responsibilities: For details, please visit and click About Us at the top of any page. PacMed is a trademark of Pacific Medical Centers. TRICARE is a registered trademark of the Department of Defense. Defense Health Agency. All rights reserved. Patient-Centered Medical Home is a trademarks of the National Committee for Quality Assurance PACMED ( )